Buffalo medical and surgical journal . ND AUTO-IRRIGATION. By BYRON H. DAGGETT, M. D., Buffalo, N. Y. At the regular meeting of the Lake Erie Medical Association,July 15, 1892, I read an article describing a method of irrigationof the deep urethra and bladder without the use of a catheter,which was published in the Buffalo Medical and SurgicalJournal, March, 1893. After the lapse of nearly two years time,and the additional experience of continual tests, I feel warrantedin asserting that nineteen out of twenty patients may be taught toirrigate in this way. The failures will be due to a very sma
Buffalo medical and surgical journal . ND AUTO-IRRIGATION. By BYRON H. DAGGETT, M. D., Buffalo, N. Y. At the regular meeting of the Lake Erie Medical Association,July 15, 1892, I read an article describing a method of irrigationof the deep urethra and bladder without the use of a catheter,which was published in the Buffalo Medical and SurgicalJournal, March, 1893. After the lapse of nearly two years time,and the additional experience of continual tests, I feel warrantedin asserting that nineteen out of twenty patients may be taught toirrigate in this way. The failures will be due to a very smallstricture or a very large prostate. I will briefly refer to a few notes taken since the publication ofthat paper, and preface these memoranda by repeating the techniqueof bladder irrigation without catheterization. The materials are afour-quart bag, a tube six feet long with a shut-off within easy tube is attached to the inlet of the double canula (Fig. 1),its bore being twenty per cent, larger than that of the outlet. The. Fig. 1.—The Daggett canula. nozzle of the canula is introduced from one to two inches, accord-ing to the size of the meatus, and is made wedge-shaped, in orderto fill the varying calibers of urethral meati. It is sufficiently longto be conveniently held in place by grasping the penis behind theglans, at the same time drawing the pendulous portion in line withthe fixed urethra. The bag is filled with water, at a temperatureof 115 degrees, to insure more than blood warmth as it flows, and DAGGETT : BLADDER GYMNASTICS AND AUTO-IRRIGATION. 715 is made bland by the addition of a little glycerine, mucilage, afew grains of salt or soda carb., and elevated two or three feetabove the plane of the pelvis. The patient must assume a reclining position—a reversedsquatting posture—since flexure and gravity are essential may do this in an ordinary bath tub by resting his back alongthe incline at its head, so that the trunk is at an angle of for
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